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\ \ CITY of ORONO <br />>L (Lc. B« «*Cry«^ Bay. 5533* <br />On the North Shore of Lake Minnetonka ADMINISTlL4r50.N - 41J-73SI <br />EhX-m^Vf <br />appuc &tioh for license to sell cigarettes at retail <br />Ocono Municipal Code Section 5.24 <br />/ <br />1. Name off Applicant <br />Mailing Address <br />City/State/Zip Code _ _ <br />Phon^ Nunb€r / x / i ^ie/ r <br />7 T <br />2. Sales Location: <br />Name / <br />Cin OF DTM <br />Street Address <br />Mailing Address <br />Phone Number //-7/ <br />btl-lCL <br />I 7< t "Va WAA^W^WVV <br />______ _ rrif <br />V A W«k.lT• * ^HECK n <br />TVI A^ v'e V <br />•/A A <br />•» V • Vi <br />/ilCT t vm-yQu <br />3. Principal business carried on at this location <br />sCrSidO LOOl ROl TIE <br />01/2C <br />4. Method of Sales: Over Counter Other <br />I hereby make ®PP^q° the^ S°ta\V*of*Minnesota and the <br />«li7an«s’oV°the*C^'y of 0?ono during the follouing quarterly periods: <br />Feb-Mar-Apr <br />May-June-July <br />LICENSE FEES <br />Aug-Sept-Oct <br />Nov-Dec-Jan <br />Expiration date of license, Jan. 31, <br />|2o!!or^''wherrapplicabir <br />case of seasonal sales, this ^ <br />pro rated by quarters, at $5.00 per <br />quarter. <br />Make remittance payable to: CITT^P O <br />Signature of applicant <br />Dated